Mark J Mancini, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD 10090 Issued in RI

Practice address

268 Post Rd Ste 204
Westerly, RI 02891-6601

Phone

(401) 596-3313

Fax

(401) 596-2650

NPI assigned

Jul 14, 2006

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

University of Connecticut School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dialysis Center of Westerly Dialysis facility, Westerly, RI, CCN 412502
• Wakefield Dialysis Center Dialysis facility, Wakefield, RI, CCN 412507
• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
• Westerly Hospital Hospital, Westerly, RI, CCN 410013
• Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Spring Health Care Management, Inc.

  dba SCMG Hospitalists

  • Internal Medicine Physician
  • Wakefield, RI
  • NPI 1861561193

  Nephrology

  Medicare reassignment Care Compare group NPD
• Shoreline Nephrology Associates, Inc.

  • Nephrology Physician
  • Westerly, RI
  • NPI 1770665424
  Authorized official Same address or phone
• Silver Spring Health Care Management, Inc.

  dba SCMG Nursery

  • Pediatrics Physician
  • Wakefield, RI
  • NPI 1992224497
  NPD
• Silver Spring Health Care Management, Inc

  dba SCMG Behavioral Health & Community Health Team

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wakefield, RI
  • NPI 1104871003
  NPD (past)
• Silver Spring Health Care Management, Inc.

  dba SCMG Nephrology & Hypertension

  • Nephrology Physician
  • Wakefield, RI
  • NPI 1720507221
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dialysis Center of Wakefield LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wakefield, RI
  • NPI 1447292990

  Dialysis facility

  Care Compare affiliation Name & address match
• Dialysis Center of Westerly LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Westerly, RI
  • NPI 1588609234

  Dialysis facility

  Care Compare affiliation Name & address match
• LMW Healthcare Inc.

  dba Westerly Hospital

  • General Acute Care Hospital
  • Westerly, RI
  • NPI 1447595368
  Care Compare affiliation
• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation
• Lawrence and Memorial Hospital, Inc.

  dba Lawrence and Memorial Hospital

  • General Acute Care Hospital
  • New London, CT
  • NPI 1073530879
  Care Compare affiliation
• Lawrence and Memorial Hospital, Inc.

  dba Lawrence and Memorial Hospital

  • General Acute Care Hospital
  • New London, CT
  • NPI 1700092459
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1477579407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 POST RD STE 204",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028916601",
            "telephone_number": "401-596-3313",
            "fax_number": "401-596-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 POST RD STE 204",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028916601",
            "telephone_number": "401-596-3313",
            "fax_number": "401-596-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Kenyon Ave Unit 326",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794253",
            "country_code": "US",
            "telephone_number": "401-782-0090",
            "fax_number": "401-782-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "MD 10090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD 10090",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristin Ann Martino, LICSW
• Fatima Martins Abbott, LICSW

• Nephrology Physician in Westerly, RI
• Providers in Westerly, RI by specialty
• Nephrology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.